| NPI | 1013993476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD H DUMONTIER Physician/Administrator 573-756-7844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2020-08-22 |